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          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Plain chest X-ray in posteroanterior projection showing pneumomediastinum and subcutaneous emphysema &#40;arrows&#41;&#46; &#40;B&#41; Coronal reconstruction of the chest CT scan &#40;lung window&#41; confirming the presence of pneumomediastinum and subcutaneous emphysema &#40;arrows&#41;&#46; &#40;C&#41; Axial image of the chest CT &#40;lung window&#41; showing left peribronchial emphysema with pneumomediastinum &#40;arrow&#41; &#8211; the Macklin effect&#46; &#40;D&#41; Enlarged image of peribronchial emphysema &#40;arrow&#41;&#46;</p>"
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